MODERN PATHOGENETIC APPROACH TO SELECTING THE METHOD OF SURGICAL TREATMENT OF RECTOCELE
https://doi.org/10.21886/2219-8075-2014-2-50-53
Abstract
Purpose: The study aims to improve the effectiveness of surgical treatment of rectocele by developing and implementing an original method of operation.
Materials and methods: A comprehensive analysis of the survey results and surgical treatment of 32 patients with rectocele. In 12 patients used the methods sfinkterolevatoroplastik front, and 8 - endorectal hardware circular mucosal-submucosal resection (using Longo).
Results: The resulting clinical experience has allowed to develop an original method of combined surgical treatment of rectocele, combining the technology of circular endorectal mucosal-submucosal resection and front levatoroplastik. The proposed method is aimed at strengthening the rectovaginal septum, the restoration of its interior and the creation of the holding fascial-muscular frame. The method was tested in 12 patients with rectocele II and III.
Summary: The application of the developed method, which takes into account the main elements of the pathogenesis of rectocele, achieves stable positive results, and reduces the likelihood of recurrence of the disease.
Materials and methods: A comprehensive analysis of the survey results and surgical treatment of 32 patients with rectocele. In 12 patients used the methods sfinkterolevatoroplastik front, and 8 - endorectal hardware circular mucosal-submucosal resection (using Longo).
Results: The resulting clinical experience has allowed to develop an original method of combined surgical treatment of rectocele, combining the technology of circular endorectal mucosal-submucosal resection and front levatoroplastik. The proposed method is aimed at strengthening the rectovaginal septum, the restoration of its interior and the creation of the holding fascial-muscular frame. The method was tested in 12 patients with rectocele II and III.
Summary: The application of the developed method, which takes into account the main elements of the pathogenesis of rectocele, achieves stable positive results, and reduces the likelihood of recurrence of the disease.
About the Authors
V. S. Groshilin
Rostov State Medical University
Russian Federation
Department of Surgical Diseases №2
Russian Federation
Department of Surgical Diseases №2
V. K. Shvetcov
Rostov State Medical University
Russian Federation
Department of Surgical Diseases №2
Russian Federation
Department of Surgical Diseases №2
L. V. Uzunayn
Rostov State Medical University
Russian Federation
Department of Surgical Diseases №2
Russian Federation
Department of Surgical Diseases №2
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Review
For citations:
Groshilin V.S., Shvetcov V.K., Uzunayn L.V. MODERN PATHOGENETIC APPROACH TO SELECTING THE METHOD OF SURGICAL TREATMENT OF RECTOCELE. Medical Herald of the South of Russia. 2014;(2):50-53. (In Russ.) https://doi.org/10.21886/2219-8075-2014-2-50-53
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